How do hemorrhoids affect stool shape. What are normal bowel movement frequencies. When should changes in stool consistency be concerning. What are key signs of hemorrhoids to watch for. Why is colorectal cancer screening important after age 50.

The Spectrum of Normal Bowel Movements

When it comes to bowel health, understanding what’s “normal” is crucial. Dr. Octavio A. Vega, a primary care physician at Rush, emphasizes that normal frequency for bowel movements can vary widely. It may range from three times a day to once every three days, depending on individual factors such as diet and lifestyle.

The key is to recognize your personal baseline. Dr. Vega states, “People may be within a normal range, but if they suddenly go from one extreme to the other or experience a change that’s not normal for them, that would be something worth investigating.” This underscores the importance of self-awareness when it comes to bowel habits.

When to Seek Medical Advice

If you notice changes in your bowel habits that persist for more than a week or two, it’s advisable to consult a healthcare professional. This is particularly important for individuals over 50, as the risk of developing digestive problems increases with age.

Abnormal Bowel Frequency: Causes and Concerns

Deviations from normal bowel frequency typically manifest as either diarrhea or constipation. Diarrhea involves more frequent and often watery bowel movements, while constipation is characterized by infrequent bowel movements, not necessarily an inability to pass stool.

Both conditions can be symptomatic of various underlying issues when they persist for more than a week. These may include:

• Irritable bowel syndrome (IBS)
• Inflammatory bowel disease (IBD)
• Thyroid problems
• Cancer

Is Constipation Always a Cause for Concern?

Constipation doesn’t always mean an inability to pass stool. Dr. Vega clarifies, “Constipation, does not necessarily mean that a person has an urge to go and can’t (a common misconception) but that he or she doesn’t go frequently enough.” This distinction is important for accurate self-assessment and communication with healthcare providers.

The Significance of Stool Shape, Color, and Consistency

While variations in stool characteristics can provide valuable health insights, not all changes are cause for immediate concern. Dr. Vega describes the ideal stool consistency as “like a banana – soft, round, smooth and tapered, with very few crevices.” This optimal form helps protect the anal area from issues such as fissures or hemorrhoids.

When Should Stool Changes Raise Red Flags?

Certain stool changes warrant closer attention:

1. Pencil-thin stools persisting for several weeks may indicate obstruction, potentially due to cancer or other conditions.
2. Significant changes in color, especially if accompanied by pain or weight loss, should be evaluated by a healthcare professional.
3. The presence of blood in the stool requires prompt medical assessment.

However, many stool variations result from normal dietary fluctuations. For instance, insufficient fiber or fluid intake can lead to harder stools, which may be addressed by lifestyle adjustments rather than medical intervention.

Hemorrhoids and Bowel Health: Separating Fact from Fiction

Hemorrhoids are a common concern when it comes to anal discomfort and bleeding. However, it’s crucial to understand that not all anal symptoms are attributable to hemorrhoids. Dr. Vega cautions, “A lot of people will blame everything in the anal area on hemorrhoids. But while blood in your stool can suggest you might have a hemorrhoid, there are a lot of things beyond hemorrhoids that can cause bleeding and other symptoms.”

How Do Hemorrhoids Affect Stool Shape?

Hemorrhoids can indeed influence stool shape and consistency. When hemorrhoids are present, they may cause:

• Narrow or thin stools due to partial obstruction of the anal canal
• Irregular or lumpy stools as they pass by the swollen hemorrhoidal tissue
• Mucus-coated stools resulting from irritation of the anal lining

However, it’s important to note that these changes can also be caused by other conditions, which is why professional medical evaluation is crucial.

Key Signs of Hemorrhoids to Watch For

While bleeding is often associated with hemorrhoids, it’s not the only indicator. Other signs may include:

• Itching or irritation in the anal area
• Pain or discomfort, especially during bowel movements
• Swelling around the anus
• A lump near the anus, which may be sensitive or painful

If you experience these symptoms, particularly if they persist or worsen over time, it’s advisable to consult a healthcare provider for proper diagnosis and treatment.

The Importance of Colorectal Cancer Screening

One of the most critical points Dr. Vega emphasizes is the importance of colorectal cancer screening, especially for individuals over 50. He states, “Every cancer has a stage when it exists without symptoms. So the earliest and most common symptom of colon cancer is no symptom.”

Why is Early Screening Crucial?

Colorectal cancer often develops without noticeable symptoms in its early stages. Regular screening can detect precancerous polyps or early-stage cancers when they are most treatable. Some key facts to consider:

• About two-thirds of patients diagnosed with colon cancer do not have a family history of the condition
• The risk of colon cancer increases significantly after age 50
• Early detection through screening can dramatically improve treatment outcomes

Dr. Vega emphasizes, “The bottom line is that once you hit 50, you should start getting colon cancer screenings.” This proactive approach to health can be life-saving.

Understanding the Link Between Hemorrhoids and Colorectal Health

While hemorrhoids are often benign, their symptoms can sometimes mimic those of more serious conditions, including colorectal cancer. This similarity underscores the importance of professional medical evaluation for any persistent changes in bowel habits or rectal bleeding.

Can Hemorrhoids Increase the Risk of Colorectal Cancer?

There is no direct causal link between hemorrhoids and colorectal cancer. However, the presence of hemorrhoids may sometimes mask symptoms of colorectal cancer, potentially delaying diagnosis. This is why it’s crucial not to self-diagnose or assume that anal bleeding or discomfort is always due to hemorrhoids.

Maintaining Optimal Bowel Health: Preventive Measures

While regular medical check-ups and screenings are essential, there are several steps individuals can take to promote good bowel health and potentially reduce the risk of hemorrhoids and other digestive issues:

1. Maintain a high-fiber diet: Include plenty of fruits, vegetables, and whole grains in your daily meals.
2. Stay hydrated: Adequate fluid intake helps prevent constipation and promotes healthy digestion.
3. Exercise regularly: Physical activity can help stimulate bowel movements and improve overall digestive health.
4. Avoid straining during bowel movements: This can help prevent or alleviate hemorrhoids.
5. Respond promptly to the urge to have a bowel movement: Delaying can lead to harder stools and increased strain.

When Should You Consider Dietary Changes for Bowel Health?

If you’re experiencing persistent changes in bowel habits or stool consistency, consider gradually increasing your fiber intake and water consumption. However, if symptoms persist despite these adjustments, it’s important to consult a healthcare provider for a thorough evaluation.

The Role of Stress in Bowel Health and Hemorrhoids

While often overlooked, stress can play a significant role in bowel health and may contribute to the development or exacerbation of hemorrhoids. Chronic stress can affect the digestive system in several ways:

• Altering gut motility, potentially leading to constipation or diarrhea
• Increasing inflammation in the body, which may worsen existing hemorrhoids
• Causing muscle tension, including in the anal area, which can affect bowel movements

How Can Stress Management Improve Bowel Health?

Incorporating stress-reduction techniques into your daily routine may help improve overall bowel health and reduce the risk of hemorrhoid-related issues. Consider the following approaches:

1. Practice mindfulness or meditation
2. Engage in regular physical activity
3. Ensure adequate sleep
4. Seek support from friends, family, or a mental health professional when needed

By addressing stress alongside other lifestyle factors, you may find improvements in both your digestive health and overall well-being.

The Impact of Aging on Bowel Health and Hemorrhoid Risk

As we age, our bodies undergo various changes that can affect bowel health and increase the risk of developing hemorrhoids. Understanding these age-related factors can help individuals take proactive steps to maintain digestive health throughout their lives.

Why Does Hemorrhoid Risk Increase with Age?

Several factors contribute to the increased prevalence of hemorrhoids in older adults:

• Weakening of connective tissues that support the anal area
• Decreased muscle tone in the pelvic region
• Increased likelihood of chronic constipation
• Cumulative effects of long-term straining during bowel movements
• Higher incidence of other health conditions that may impact bowel function

While these age-related changes are natural, they underscore the importance of maintaining good bowel habits and seeking prompt medical attention for any concerning symptoms, regardless of age.

Adapting Bowel Health Strategies as You Age

To mitigate the impact of aging on bowel health and reduce hemorrhoid risk, consider the following strategies:

1. Gradually increase fiber intake to support regular bowel movements
2. Stay physically active to maintain muscle tone and stimulate digestion
3. Practice pelvic floor exercises to improve muscle strength in the anal area
4. Use a footstool when having a bowel movement to reduce straining
5. Consider over-the-counter stool softeners if occasional constipation occurs

Remember, while these strategies can be helpful, they should not replace regular medical check-ups and screenings, especially as you age.

5 Facts About No. 2

With their variations in frequency, shape and accompanying symptoms, our bowel movements and stool offer clues about our health — as well as potential health problems.

Octavio A. Vega, MD, a primary care physician at Rush, discusses five things everyone should know about bowel health. 

1. ‘Normal’ is a broad term. 

Normal frequency for bowel movements can range from three times a day to once every three days, depending on a person’s eating habits and other factors. What’s important, Vega explains, is to know what’s normal for you.

“People may be within a normal range, but if they suddenly go from one extreme to the other or experience a change that’s not normal for them, that would be something worth investigating,” he says.

So if you experience changes in your bowel habits that last longer than a week or two, consult your doctor (particularly if you are older than 50, the age at which people begin to have a higher risk of developing digestive problems).

2. Abnormal frequency has a variety of causes. 

People who fall outside the normal spectrum of frequency have either diarrhea — when bowel movements occur more frequently than normal and are often watery — or constipation. Constipation, Vega notes, does not necessarily mean that a person has an urge to go and can’t (a common misconception) but that he or she doesn’t go frequently enough.

People who experience constipation or diarrhea for more than a week should visit the doctor; both problems can signal a variety of conditions including irritable bowel syndrome, inflammatory bowel disease, thyroid problems or even cancer.

3. Shape, color and consistency can — but don’t always — matter.

“The optimal consistency is like a banana,” Vega says. “Soft, round, smooth and tapered, with very few crevices.” This form protects the area around the anus from problems such as anal fissures or hemorrhoids.

Stools that become pencil-thin for several weeks can suggest obstruction from cancer or another condition, but most deviations from the ideal shouldn’t necessarily cause concern: The color, consistency and shape of your stools can change due to normal fluctuations in diet. Not consuming enough fiber or fluids, for example, can make your stool harder — as a result of which you might want to drink more water and increase your fiber intake but not necessarily visit the doctor.

“A change in the consistency of your stool only becomes worrisome if combined with other symptoms such as pain or weight loss,” Vega says. “And color usually isn’t important unless it comes from blood or changes significantly.”

4. Blood doesn’t equal a hemorrhoid. 

“A lot of people will blame everything in the anal area on hemorrhoids,” he notes. “But while blood in your stool can suggest you might have a hemorrhoid, there are a lot of things beyond hemorrhoids that can cause bleeding and other symptoms.”

The most serious of these causes is colon cancer, so those who experience bloody stools should visit a primary care doctor or gastroenterologist to get the problem checked out.

A change in the consistency of your stool only becomes worrisome if combined with other symptoms such as pain.

And color usually isn’t important unless it comes from blood or changes significantly.

5. The first symptom is no symptom.

If you’re older than 50, an age at which the risk of colon cancer begins to increase significantly, don’t wait to get screened until you see blood in your stool or experience other symptoms.

“Every cancer has a stage when it exists without symptoms,” Vega points out. “So the earliest and most common symptom of colon cancer is no symptom.”

Moreover, about two-thirds of patients diagnosed with colon cancer do not have a family history of the condition. “The bottom line,” he says, “is that once you hit 50, you should start getting colon cancer screenings.”

What are the Signs of Hemorrhoids

The following are some of the signs or symptoms of hemorrhoids:

1. The number one sign of hemorrhoids is bleeding. Unlikely bleeding of the anus is something that can be presumed as a sign of hemorrhoids. Bleeding from the rectum usually get into notice during bowel movement wherein there is a stain of blood in the stool. It is best to immediately see a doctor if there is occurrence of any bleeding from the anal canal before, during, or after a bowel movement. One, however, should take into consideration that bleeding in the anus can also be another form of disorder/sickness, and might not be necessarily a cause of hemorrhoids.

A bleeding anus can become very uncomfortable and embarrassing. Since bleeding happens when the anus or the lower body exerts pressure, bleeding may happen anywhere such as when one is in a public place. Needless to say, nobody wants to have their clothes stained with blood from the anus.

2. Another sign of hemorrhoids is the unusual change in how your stool looks like. A sudden change in the size, shape and color of the stools might indicate of hemorrhoids. A blockage or a narrow passage (due to congestion) can be a reason for thin-sized stools (not-so ordinarily thin). Atypically dark-colored stools also indicate certain blockages in the passage.

3. Pain in the rectum or around the rectal area which is not caused by any known physical injury can be indicative of hemorrhoids condition. Some of these pains include an intense throbbing and discomfort which does not subside easily should be reason enough to seek a doctor’s advise. External hemorrhoids are more likely to cause pain and discomfort since external hemorrhoids are more exposed to outside irritants. In some cases, pain is also accompanied with bleeding.

4. Discharges from the anus may also indicate hemorrhoids. These anal discharges may be brought about by irritation or swelling of the internal hemorrhoids.

5. Bumps, sores, lumps and swelling around the anus and rectum are may also be signs of hemorrhoids. These lumps, sores, bumps, swelling and sac-like protrusions in the anus is due to swelling of the blood vessels in the internal anal canal because of too much pressure exerted by the anus. The sizes of these lumps may vary from the size of a dollar to a much larger one. There are basically four degrees of hemorrhoids and each has its corresponding signs and symptoms as well as treatments:

– First Grade Hemorrhoids: The first grade hemorrhoids may be internal or external. The first grade of hemorrhoids is often accompanied with bleeding.

– Second Grade Hemorrhoids: Hemorrhoids may draw back in into the anal canal. In this grade, bleeding may not necessarily be present.

– Third Grade Hemorrhoids: Hemorrhoids protrude from the anus’ opening but can be easily pushed back in.

– Fourth Grade Hemorrhoids: These are hemorrhoids that protrude from the anal canal but cannot be pushed back in manually.

Hemorrhoids Or Colon Cancer? – Marciano Legal

Colon cancer and hemorrhoids often present with the same symptoms. Without additional testing, the two conditions can be indistinguishable from one another. In fact, around 90% of patients with colon or rectal cancer initially believe they have a case of hemorrhoids, according to StopColonCancerNow.com.

But this confusion isn’t limited to laypeople. Even extremely skilled physicians can mistake a case of colorectal cancer for hemorrhoids. In the vast majority of cases, additional testing is required to make an accurate diagnosis, and discern between the two conditions.

Do I Have Hemorrhoids Or Cancer?

Statistically, you’re far more likely to have hemorrhoids than colon cancer. While around 75% of adults will experience the symptoms of hemorrhoids by 50, only 4.5% of patients, male or female, are ever diagnosed with a cancer of the colon or rectum.

Most patients are tipped off to a potential problem by rectal bleeding or rectal itching, which can be very distressing. Both colon cancer and hemorrhoids can cause these symptoms, but as we’ll see, there may be a way to tell the difference.

Suffering from misdiagnosis from a physician? Contact Marciano & MacAvoy, P.C. for a free consultation!

What Are Hemorrhoids?

Hemorrhoids happen when the veins around the anus, or those inside the lower rectum, become swollen. While both internal and external hemorrhoids are painful, external hemorrhoids, when the veins surrounding the outside of the anus become inflamed, are much more common.

Hemmorhoid symptoms include:

• Severe itching around the anus
• Pain and irritation surrounding the anus
• Painful or itchy lumps near the anus
• Painful bowel movements
• Blood in the stool
• Fecal leakage (an inability to control bowel movements completely)

For most people, hemorrhoids are a temporary problem. Symptoms flare up and then subside, often in response to irritation or strain.

What Causes Hemorrhoids?

Under pressure, the veins around the anus can stretch, which may cause them to swell or bulge. In short, anything that increases pressure in the lower rectum can cause a case of hemorrhoids.

That usually means:

• chronic constipation
• straining during defecation
• sitting on the toilet too long

Pregnancy is another major risk factor for hemorrhoids. When the uterus expands, it can press on a vein in the colon and constrict it painfully. Colon cancer is more likely to be diagnosed in men than women, according to the Stop Cancer Fund.

Colorectal Cancer Vs. Hemorrhoids

In other words, the symptoms of hemorrhoids are inconstant. You may find blood in your stool or on the toilet paper one day, but not the next. Moreover, the symptoms usually go away over time. Colon cancer, on the other hand, doesn’t subside in the same way. Neither do the symptoms of colon cancer. Constant rectal bleeding is more often a sign of colorectal cancer than hemorrhoids.

Pain is another major differentiator between hemorrhoids and cancer. While hemorrhoids can cause pain, the rectal bleeding associated with hemorrhoids almost never does. If you’re experiencing painful rectal bleeding, you may have something more serious than hemorrhoids.

Pain is usually associated with internal hemorrhoids, which are less common than external hemorrhoids.

Colorectal Cancer Symptoms & Signs

Any rectal bleeding is cause for concern, and you should consult your doctor if you begin to experience these or associated symptoms. But abnormally-heavy rectal bleeding could be a sign of colorectal cancer, not hemorrhoids.

Watch out for these other signs, which are more likely to occur with colon or rectal cancer than with hemorrhoids:

• unexpected weight loss and / or fatigue
• pain in your lower abdomen
• changes in the shape of your bowel movements (stool no longer appears round)
• changes in your defecation habits (either diarrhea or constipation)
• excessive gas
• bloating
• tenesmus (the constant sense that you have to pass stool, even when your bowels are empty)

In their early stages, colorectal cancers don’t usually cause any symptoms. That’s why most governmental agencies suggest that patients begin receiving routine screenings for the disease around the age of 50. If symptoms do begin, specialist medical attention is suggested; many patients have had their colorectal cancer symptoms dismissed as the result of a “benign” disease, or been misdiagnosed with colon cancer.

Bowel habits in hemorrhoid patients and normal subjects

Objectives:

Bleeding, pain, soiling, and prolapse are the classic symptoms in hemorrhoid disease, but the patients sometimes report a variety of other symptoms. Little is known about functional bowel symptoms in patients with hemorrhoids and few studies have previously addressed this subject. The aim of this study was to compare patients with hemorrhoids with a control population regarding functional bowel symptoms and anorectal complaints.

Methods:

One hundred consecutive patients who participated in a randomized study on hemorrhoidectomy completed a validated questionnaire on bowel and anorectal functional symptoms. Two hundred age- and gender-matched population based control subjects, and 100 gender-matched consecutive patients undergoing an orthopedic procedure served as two control groups, and completed the same questionnaire.

Results:

Bowel frequency was the same in all three groups, but only 37% of the patients described their bowel movements as normal, compared to 55 and 67% of the controls (p < 0.001). Up to 37% of the patients reported bloating, compared to 18 and 26% in the control groups. Abdominal pain associated with bowel evacuation was experienced by 34% of the patients but in 3 and 5% of the controls (p < 0.001). Excessive straining, feeling of incomplete evacuation, and repeated toilet visits were significantly more usual in the patients. Reduced feeling of well being and disturbed social life caused by bowel symptoms was often reported by patients but rarely in the control groups.

Conclusions:

Beside hemorrhoidal symptoms, many patients with Grade 3-4 hemorrhoids have concomitant functional bowel symptoms, possibly associated with the irritable bowel syndrome. This knowledge might be important while selecting therapy for patients with hemorrhoids.

Does Your Poop Look Like This? You Could Have IBS | Methodist Health System

Do you suffer from chronic gastrointestinal pain or cramping? Do you have frequent diarrhea, constipation, urgency to go or all of the above? You may have irritable bowel syndrome (IBS), a condition that affects up to 15% of Americans and tends to be more common in women than in men.

If you’re one of the millions of people affected, the chains that bind you can be debilitating.

You may avoid going places where restrooms aren’t easily accessible. You may be forced to cancel plans or decline invitations due to sudden onset symptoms. And you may steer clear of the foods and drinks you love in order to prevent your chronic bowel problems from worsening.

Many people delay seeking care out of embarrassment, the assumption that it’s all in their heads or the hope that their issues will eventually resolve. So, how do you know when it’s time to call your provider? Recognize the symptoms of IBS – and yes, take a closer look at your poop.

IBS Types and Symptoms 

There are three types of IBS, which include:

• IBS with constipation (IBS-C) is usually marked by abdominal pain, cramping, bloating, infrequent bowel movements and hard stools.
• IBS with diarrhea (IBS-D) usually comes with abdominal pain, cramping, bloating, urgency to go, frequent bowel movements and loose, watery stools.
• IBS with mixed bowel movements (IBS-M) is accompanied by constipation and diarrhea.

The Bristol Stool Chart

As noted above, your bowel movements can help determine what type of IBS you might have. The Bristol Stool Chart can be a helpful resource in gauging whether the shape and texture of your poop is considered normal.

Out of the seven types of stools listed, you’ll see five of them are red – or abnormal – and signify diarrhea or constipation. The standard rule of thumb is: If you experience one of these five types three or more times a month for three consecutive months – and you’re suffering from the other symptoms noted above – it may be time to talk to your provider to determine whether you really are struggling with IBS or something more serious.

It’s important to note that aside from shape and texture, the presence of white or cloudy mucus in your stool may also point to IBS.  But here’s what’s not associated with IBS:

• Blood in your stool
• IBS-like symptoms accompanied by a fever
• IBS-like symptoms accompanied by dramatic weight loss

If you experience any of these more serious symptoms, contact your provider immediately.

Finding Comfort and Peace of Mind

While IBS does not cause damage to your intestines or lead to serious disease – like cancer – it’s important that you reach out to a trusted provider with any recurring symptoms that are painful or cause you anxiety. No one deserves to live in discomfort. And an accurate diagnosis can help lead you toward greater comfort and peace of mind.

Hemorrhoids | Frankel Cardiovascular Center

Topic Overview

What are hemorrhoids?

Hemorrhoids are swollen veins in the anal canal. This common problem can be painful, but it’s usually not serious.

Veins can swell inside the anal canal to form internal hemorrhoids. Or they can swell near the opening of the anus to form external hemorrhoids. You can have both types at the same time. The symptoms and treatment depend on which type you have.

Many people have hemorrhoids at some time.

What causes hemorrhoids?

Too much pressure on the veins in the pelvic and rectal area causes hemorrhoids.

Normally, tissue inside the anus fills with blood to help control bowel movements. If you strain or sit on the toilet a long time to move stool, the increased pressure causes the veins in this tissue to swell and stretch. This can cause hemorrhoids.

Diarrhea or constipation also may lead to straining and can increase pressure on veins in the anal canal.

Pregnant women can get hemorrhoids during the last 6 months of pregnancy. This is because of increased pressure on the blood vessels in the pelvic area. Straining to push the baby out during labor can make hemorrhoids worse.

Being overweight can also lead to hemorrhoids.

What are the symptoms?

The most common symptoms of both internal and external hemorrhoids include:

• Bleeding during bowel movements. You might see streaks of bright red blood on toilet paper after you strain to have a bowel movement.
• Itching.
• Rectal pain. It may be painful to clean the anal area.

Internal hemorrhoids

With internal hemorrhoids, you may see bright red streaks of blood on toilet paper or bright red blood in the toilet bowl after you have a normal bowel movement. You may see blood on the surface of the stool.

Internal hemorrhoids often are small, swollen veins in the wall of the anal canal. But they can be large, sagging veins that bulge out of the anus all the time. They can be painful if they bulge out and are squeezed by the anal muscles. They may be very painful if the blood supply to the hemorrhoid is cut off. If hemorrhoids bulge out, you also may see mucus on the toilet paper or stool.

External hemorrhoids

External hemorrhoids can get irritated and clot under the skin, causing a hard painful lump. This is called a thrombosed, or clotted, hemorrhoid.

How are hemorrhoids diagnosed?

Your doctor can tell if you have hemorrhoids by asking about your past health and doing a physical exam.

You may not need many tests at first, especially if you are younger than 50 and your doctor thinks that your rectal bleeding is caused by hemorrhoids. Your doctor may just examine your rectum with a gloved finger. Or your doctor may use a short, lighted scope to look inside the rectum.

Rectal bleeding can be a sign of a more serious problem, such as colon, rectal, or anal cancer. So if the first exam does not show a clear cause of your problems, your doctor may use a lighted scope (sigmoidoscope) to look at the lower third of your colon. Or your doctor may use another kind of scope (colonoscope) to look at the entire colon to check for other causes of bleeding.

How are they treated?

For most external hemorrhoids, home treatment is all you need. This includes slowly adding fiber to your meals, drinking more water, and using over-the-counter ointments for a limited time to stop itching. You also may use stool softeners. The same home treatment can be used for most internal hemorrhoids.

If your internal hemorrhoids are severe, you may need other treatment. The doctor may tie off the hemorrhoids with rubber bands or scar the tissue around the hemorrhoids. These treatments reduce the blood supply to the hemorrhoids so that they shrink or go away.

Surgery to remove hemorrhoids may be done if other treatments don’t work.

Healthy habits can help you prevent hemorrhoids or keep them from getting worse. Eat foods that have lots of fiber, such as fruits, vegetables, and whole grains. Also, drink plenty of water, and get plenty of exercise.

Cause

Hemorrhoids are usually caused by increased pressure on the veins in the pelvic and rectal area. As pressure increases, blood pools in veins and causes them to swell. Eventually, the swollen veins stretch the surrounding tissue, and hemorrhoids develop.

Bowel habits that can cause increased pressure and lead to hemorrhoids include:

• Rushing to complete a bowel movement. Hurrying can lead to excessive straining and can increase pressure on rectal veins.
• Persistent diarrhea or constipation, which may cause straining and increase pressure on veins in the anal canal.

Other things that can lead to the development of hemorrhoids include:

• Being overweight. Excess weight, especially in the abdomen and pelvis, may increase pressure on pelvic veins.
• Pregnancy and labor. Hormonal changes during pregnancy increase blood flow to the pelvis and relax supportive tissues while the growing fetus causes increased pressure on blood vessels. During labor, hemorrhoids may develop because of the intense pressure on the anal area while pushing to deliver the baby.
• Medical conditions. For example, long-term heart and liver disease may cause blood to pool in the abdomen and pelvic area, enlarging the veins.

Symptoms

Bleeding during bowel movements, itching, and rectal pain are the most common hemorrhoid symptoms.

External hemorrhoids

Rectal pain occurs mainly with external hemorrhoids. Blood may pool under the skin, forming a hard, painful lump. This is called a thrombosed, or clotted, hemorrhoid. You might also notice streaks of blood on the toilet paper after straining to pass a stool.

Internal hemorrhoids

The most common symptom of internal hemorrhoids is rectal bleeding. You may find bright red streaks of blood on the toilet paper or bright red blood in the toilet bowl after having a normal bowel movement. Blood also may be visible on the surface of the stool.

Other symptoms of internal hemorrhoids may include:

• Itching. This is a frequent complaint, because internal hemorrhoids often seep mucus, which can irritate the anal skin and cause itching.
• Skin irritation. Large hemorrhoids that bulge from the anus may secrete mucus, causing mild irritation.
• Discomfort. You may still feel the urge to pass stool right after having a bowel movement. This uncomfortable feeling is caused by the bulging of the hemorrhoid in the end portion of the large intestine (anal canal). In general, the larger the hemorrhoid, the greater the discomfort.
• Pain. Most internal hemorrhoids are not painful. But large hemorrhoids that bulge from the anus may become painful if they swell and are squeezed by the muscles that control the anus. Severe pain may be a sign that the blood supply to the hemorrhoid is being cut off (strangulated hemorrhoid). Emergency treatment is needed.

Rectal bleeding and pain and recent changes in bowel habits are also symptoms of colon, rectal, or anal cancer. People who have these symptoms, especially those age 50 or older or those with a family history of colon cancer, need to talk to their doctors.

Other conditions with symptoms similar to hemorrhoids include:

What Happens

Hemorrhoids form when increased pressure on the pelvic veins causes veins in the anal canal to swell and gradually stretch out of shape. Pressure increases can be caused by rushing to complete a bowel movement, persistent diarrhea or constipation, or other factors including being overweight or pregnant.

Persistent pressure also weakens tissues that support the veins in the anal canal. If those tissues become so weak that they can no longer hold the veins in place, the swollen veins and tissues bulge into the anal canal (internal hemorrhoids) or under the skin surrounding the anal opening (external hemorrhoids).

For some people, hemorrhoids may cause a little discomfort for a limited time. Other people have recurrent bouts of discomfort when hemorrhoids flare up. Some people struggle with hemorrhoid pain, discomfort, and itching much of their lives. The degree and duration of discomfort depend on where the hemorrhoids are.

Hemorrhoids frequently develop during pregnancy because of extra pressure on veins (from the enlarged uterus).

During labor, hemorrhoids may start or get worse because of the intense straining and pressure on the anal area while pushing to deliver the baby. For more information, see the topic Pregnancy.

External hemorrhoids

Because external hemorrhoids may not cause any symptoms, you may not be aware that you have hemorrhoids.

When a vein within an external hemorrhoid gets irritated, blood may clot under the skin, forming a hard, bluish lump. This is known as a thrombosed, or clotted, hemorrhoid. Thrombosed hemorrhoids can be very painful.

Internal hemorrhoids

Small internal hemorrhoids may not grow larger if bowel habits or other factors change to lower pressure on the veins in the bowel.

Large internal hemorrhoids may bulge from the anus. After bowel movements, you may have to push them back through the anus. At worst, large internal hemorrhoids stick out all the time.

In rare cases, hemorrhoids may bulge through the anus and swell. Muscles that control the opening and closing of the anus may cut off a hemorrhoid’s blood supply (strangulated hemorrhoid). This may cause the hemorrhoid tissues to die. If this happens, you will feel severe rectal pain and may see blood and pus at the anus. You will need urgent surgery to prevent further complications, such as death of the affected tissue and infection.

What Increases Your Risk

Bowel habits, physical stresses, and other conditions can raise the risk of developing hemorrhoids or make existing hemorrhoids worse. Some of these factors can be prevented.

Things that increase your risk

• Constipation or diarrhea that does not go away. These conditions may lead to straining with bowel movements.
• Being overweight
• A family history of hemorrhoids. You may inherit the tendency to get them.
• Being age 50 or older. Half of people who are older than 50 seek treatment for hemorrhoids.
• Pregnancy and labor and delivery. As the fetus grows during the last 6 months of pregnancy, blood volume and pressure on pelvic blood vessels increase. The strain of labor also can cause hemorrhoids to start or get worse.
• Liver disease, heart disease, or both. These conditions may cause blood to back up in the pelvis and abdomen.

Things that may make hemorrhoids worse

Hemorrhoids may be made worse by:

• Prolonged sitting or standing. This may cause blood to pool in the anal area and increase pressure on the veins.
• Frequent heavy lifting or holding your breath when lifting heavy objects. This can cause a sudden increase of pressure in blood vessels.

When should you call your doctor?

Common symptoms of hemorrhoids may be a sign of other serious health problems. Colon or rectal cancer and other conditions have many of the same symptoms as hemorrhoids. Call your doctor if you have symptoms like these:

• Stools are black or tarry.
• A lump or bulge that is not tender and does not go away develops at the anal opening.

If you have hemorrhoids, call your doctor if:

• Moderate rectal pain lasts longer than 1 week after home treatment.
• Pain or swelling is severe.
• Tissue from inside the body bulges from the anus and does not return to normal after 3 to 7 days of home treatment.
• A lump inside the anus becomes bigger or more painful.

If rectal bleeding becomes heavy or changes color (such as from bright red to dark red), or if stools change size, shape, or color (from brown to maroon or black), be sure to see your doctor.

Watchful waiting

Watchful waiting is a wait-and-see approach. And in most cases, bleeding caused by hemorrhoids should stop after 2 to 3 days. Continue home treatment to prevent bleeding from starting again. Call your doctor if bleeding:

• Occurs for more than 1 week without improvement.
• Starts again.
• Occurs when there is no reason to expect it.

If you are older than age 50 or have a family history of colon cancer, it is a good idea to tell your doctor any time you have new rectal bleeding, notice blood on your stools, have changes in bowel habits, or have anal pain. These symptoms may be signs of colon cancer or other conditions. Your doctor may recommend screening tests to see if you have a more serious problem. See Exams and Tests.

Who to see

The following professionals can evaluate and treat hemorrhoids:

If medical treatment or surgery is needed, you may be referred to a:

Exams and Tests

A doctor can evaluate symptoms of hemorrhoids to rule out other, more serious problems. A number of conditions that affect the anus and colon (large intestine) can cause bleeding, mucus drainage, itching, and discomfort. Most people who have these symptoms think they have hemorrhoids, but often they do not.

If hemorrhoids are present, the doctor will evaluate their location and size and develop a treatment plan based on the hemorrhoids’ degree of severity.

The diagnosis of hemorrhoids is based on a medical history and physical exam. A digital rectal exam and an anoscopy may be the only tests needed at first. Your doctor will decide which tests to use. If hemorrhoids are the obvious cause of rectal bleeding, you are younger than age 50, and you do not have risk factors for colon cancer, you may not need more tests.

To make sure nothing else (like colon cancer) is causing your symptoms, you may need other tests, such as:

These tests are not used routinely to diagnose hemorrhoids.

Treatment Overview

Most hemorrhoids can be treated with simple changes to diet and bowel habits. Most do not require surgery or other treatment unless the hemorrhoids are very large and painful.

The goal of nonsurgical procedures used to treat hemorrhoids, called fixative procedures, is to reduce the blood supply to the hemorrhoid so it shrinks or goes away. The scar tissue left in its place helps support the anal tissue and helps prevent new hemorrhoids.

Fixative procedures include tying off the hemorrhoids with a rubber band (rubber band ligation) or using heat, lasers, or electric current to create scar tissue (coagulation therapy). Fixative procedures can only be done on internal hemorrhoids.

Surgical removal of hemorrhoids (hemorrhoidectomy) can be used for large internal hemorrhoids, when several small hemorrhoids are present, or when other treatments have not controlled bleeding. Sometimes a combination of treatments (for example, a fixative procedure and a hemorrhoidectomy) is the most effective way to treat hemorrhoids. External hemorrhoids can only be removed surgically, if needed. If a blood clot develops in the external hemorrhoid, the clot may need to be removed to relieve pain.

Hemorrhoidectomy versus fixative procedures for internal hemorrhoids

• Fixative procedures are usually tried before surgery if hemorrhoids are small and stick out of the anus during a bowel movement but return to their normal position afterward (second-degree hemorrhoid).
• Hemorrhoidectomy may provide better long-term results than fixative procedures. But surgery is more expensive, requires a longer recovery time, is usually more painful, and has a greater risk of complications.
• Fixative procedures are the preferred treatment for people older than age 70 and for people in poor health.

Prevention

You can help prevent the irritating and painful symptoms of hemorrhoids.

Avoid constipation

• Include fruits, vegetables, beans, and whole grains in your diet each day. These foods are high in fiber.
• Drink plenty of fluids, enough so that your urine is light yellow or clear like water.
• Get some exercise every day. Try to do moderate activity at least 2½ hours a week. Or try to do vigorous activity at least 1¼ hours a week. It’s fine to be active in blocks of 10 minutes or more throughout your day and week.
• Take a fiber supplement, such as Citrucel or Metamucil, every day if needed. Read and follow all directions on the label.

Practice healthy bowel habits

• Go to the bathroom as soon as you have the urge.
• Avoid straining to pass stools. Relax and give yourself time to let things happen naturally.
• Avoid holding your breath while passing stools.
• Avoid reading while sitting on the toilet. Get off the toilet as soon as you have finished.

Modify your daily activities

• Avoid prolonged sitting or standing. Take frequent short walks.
• If possible, avoid lifting heavy objects frequently. If you must lift heavy objects, always exhale as you lift the object. Don’t hold your breath when you lift.
• If you are pregnant, sleeping on your side will lower pressure on the blood vessels in your pelvis. This can help keep hemorrhoids from becoming bigger.

Home Treatment

Home treatment, which mainly involves establishing healthy bowel habits, may keep your hemorrhoids from getting worse.

You can use the following suggestions to keep hemorrhoids from getting worse or to relieve your symptoms.

Avoid making hemorrhoids worse

• Blot the anus gently with white toilet paper moistened with water or a cleansing agent (such as Balneol) after bowel movements. Baby wipes or other premoistened towels (such as Tucks or Preparation H) are also useful for this purpose.
• Avoid rubbing the anal area. You can rinse off in the shower or on a bidet instead of wiping yourself with toilet paper. After cleansing, gently pat the anal area dry with a soft, absorbent towel or cloth.
• Use soaps that contain no perfumes or dyes.

Relieve pain and itching

• Take nonprescription pain relievers. Acetaminophen (Tylenol) can help with pain. Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin) and naproxen (Aleve) can help with pain and swelling. Be safe with medicines. Read and follow all instructions on the label.
• Apply ice several times a day for 10 minutes at a time. Follow this by placing a warm compress on the anal area for another 10 to 20 minutes.
• Take a sitz bath. Fill your bathtub with just enough warm water to cover the anal area. Do this several times a day, especially after you have had a bowel movement. Soak for about 15 minutes at a time. Be careful! If the water is too warm, it can burn you.

Use nonprescription medicines as recommended by your doctor or pharmacist. See Medications for information on nonprescription ointments, creams, and suppositories.

Other comfort measures

• You may need a day or more of bed rest to take pressure off inflamed, irritated veins. If you are pregnant, you may find it helpful to lie on your side. If you are not pregnant, sleeping on your stomach with a pillow under your hips will help reduce swelling of hemorrhoids.
• Try not to sit or stand for a long time when hemorrhoids are irritated. If you must sit for a long time, sit on a pillow. Avoid lifting heavy objects.
• Wear cotton underwear to prevent moisture buildup, which can irritate hemorrhoids. Wear loose clothing to allow freedom of movement and to reduce pressure on the anal area.

Medications

Medicines can help relieve symptoms of hemorrhoids. You might try one or more of the following nonprescription remedies.

• Ointments that protect the skin, such as zinc oxide or petroleum jelly, are the best nonprescription remedies for hemorrhoids. Ointments can prevent further injury and reduce itching by forming a barrier over hemorrhoids.
• Use suppositories, such as those made by Preparation H or Tucks (formerly Anusol), for 7 to 10 days to relieve irritation and to lubricate the anal canal during bowel movements. Some of these products contain substances that can harm anal tissues if they are used for too long.
• Apply an ointment that contains 1% hydrocortisone, a type of steroid medicine that may relieve inflammation and itching. Your doctor may prescribe 2.5% hydrocortisone. But these products should not be used for more than 2 weeks, because they can thin the skin.
• Apply products that contain medicine to numb an area (local anesthetic). These products often have the suffix “-caine” in the name or the ingredients. Although these products help some people, especially those who have painful external hemorrhoids, some people become allergic to them. Ask your doctor before using these products.
• Take nonprescription pain relievers. Acetaminophen (Tylenol) can help with pain. Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin) and naproxen (Aleve) can help with pain and swelling. Be safe with medicines. Read and follow all instructions on the label.

Surgery

Most hemorrhoids do not require surgery. It is usually considered only for severe hemorrhoids.

Surgery may be done if other treatments (including home treatment) have failed. Surgery is also considered when symptoms become so bothersome that your lifestyle is affected or when hemorrhoids create a medical emergency, such as uncontrolled bleeding or blood and pus at the anus along with severe rectal pain.

External hemorrhoids

External hemorrhoids usually are not removed with surgery (hemorrhoidectomy) except if they are very large and uncomfortable or if you are having surgery on the anal area for another reason, such as internal hemorrhoids or a tear (anal fissure). If a blood clot develops in the external hemorrhoid, the clot may need to be removed to relieve pain.

Internal hemorrhoids

Surgical removal of hemorrhoids (hemorrhoidectomy) is a last resort for treating small internal hemorrhoids.

Hemorrhoidectomy is considered the most successful way to treat large internal hemorrhoids, especially those that are still a problem after treatments that cut off blood flow to hemorrhoids (fixative procedures) have been tried.

What to think about

Sometimes, increased pressure on external hemorrhoids causes them to get irritated and to clot. This causes a lump (thrombosed, or clotted, hemorrhoid) to form. You may suffer from severe pain at the site of a clotted hemorrhoid.

A procedure to relieve the pain can be done in a doctor’s office or outpatient clinic. The doctor applies local anesthesia and then makes a small incision where the lump has occurred to remove the clot and reduce pressure and pain. The procedure works best if it is done soon after the clot has formed.

If the pain is tolerable, you may choose to wait to see a doctor. The pain usually goes away in a few days. After 4 or 5 days, the pain from cutting and draining the hemorrhoid is usually worse than the pain from the clot.

Other Treatment

Many people who have hemorrhoids find relief from symptoms through home treatment. If medical treatment is needed, fixative procedures are the most widely used nonsurgical treatments. Fixative procedures are only for internal hemorrhoids.

Other treatment choices

Fixative procedures include:

What to think about

Not all doctors have the experience or the equipment to do all types of fixative procedures. This may help you decide which procedure to choose. Ask your doctor which procedure he or she does the most and how satisfied people have been with the outcomes of that procedure.

References

Other Works Consulted

• Dozois EJ, Pemberton JH (2006). Hemorrhoids and other anorectal disorders. In MM Wolfe et al., eds., Therapy of Digestive Disorders, 2nd ed., pp. 945–958. Philadelphia: Saunders Elsevier.
• Madoff RD (2016). Diseases of the rectum and anus. In L Goldman, A Schafer, eds., Goldman-Cecil Medicine, 25th ed., vol.1, pp. 967–973. Philadelphia: Saunders.
• Marcello PW (2010). Diseases of the anorectum. In M Feldman et al., eds., Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, 9th ed., vol. 2, pp. 2257–2274. Philadelphia: Saunders.
• Rivadeneira DE, et al. (2011). Practice parameters for the management of hemorrhoids. Diseases of the Colon and Rectum, 549(9): 1059–1064. Available online: http://www.fascrs.org/physicians/practice_parameters.

Credits

Current as of:
April 15, 2020

Author: Healthwise Staff
Medical Review:
Anne C. Poinier MD – Internal Medicine
Adam Husney MD – Family Medicine
E. Gregory Thompson MD – Internal Medicine
Kenneth Bark MD – General Surgery, Colon and Rectal Surgery

Signs and Symptoms of Colon Cancer

What are the signs and symptoms of colorectal cancer? 

Colorectal cancer might not cause symptoms right away. In fact, many of the symptoms of colorectal cancer can also be caused by other problems, such as infection, hemorrhoids, irritable bowel syndrome, or inflammatory bowel disease.

It’s important to get checked if you have any of following problems. In many cases, people who have these symptoms do not have cancer. But you should talk to your doctor if you have any of them so the cause can be found and treated.

• A change in bowel habits, such as diarrhea, constipation, or narrowing of the stool, that lasts for more than a few days
• A feeling that you need to have a bowel movement that is not relieved by having one
• Rectal bleeding with bright red blood
• Blood in the stool, which might make it look dark brown or black
• Cramping or abdominal (belly) pain
• Weakness and fatigue
• Losing weight without trying

Often colorectal cancer doesn’t cause symptoms until it has grown or spread. That’s why it’s best to be tested for colorectal cancer before ever having any symptoms. Colorectal cancer that’s found early through screening, before you have symptoms, might be easier to treat. Screening can even prevent some colorectal cancers by finding and removing pre-cancerous growths called polyps.

How does the doctor know if it’s cancer?

If you have symptoms that might be caused by colorectal cancer or if a screening test shows something not normal, your doctor will want to do more testing to find the cause. 

Your doctor will ask about your medical history to learn about possible risk factors, including check for symptoms and. It’s important to know your family history. You will also be asked if you’re having any symptoms and, if so, when they started and how long you’ve had them. 

You might be able to have a virtual visit to talk with your doctor about symptoms or risk factors that might be worrying you. But, depending on your symptoms, your doctor might want you to schedule an in-person visit so you can be examined. As part of a physical exam, your doctor will carefully feel your abdomen for masses or enlarged organs, and also examine the rest of your body. You may also have a 
digital rectal exam (DRE). During this test, the doctor inserts a lubricated, gloved finger into your rectum to feel for any abnormal areas. 

Your doctor may also want you to get more tests such as:

• Colonoscopy:  A colonoscopy is a test where a thin tube with a light on the end is put through the anus, into the rectum and colon to look closely at the inside. If any abnormal lump (mass) or growth
  (polyp) is found, a piece of it can be taken (a biopsy) and checked in the lab for cancer cells.
• Biopsy: During a biopsy, the doctor takes out a small piece of tissue where the cancer might be. The tissue is checked for cancer cells. This is the best way to know if you have cancer.    
• CT or CAT scan: A CT scan is like an x-ray, but the pictures of your insides are more detailed. CT scans can also be used to help do a biopsy and can show if the cancer has spread.
• Ultrasound: For this test, a small wand is moved around on your skin. It gives off sound waves and picks up the echoes as they bounce off tissues. The echoes are made into a picture on a computer screen. It’s used to help find cancer and see if it has spread.
• Gene and protein tests: The cancer cells in the biopsy tissue might be tested for genes or proteins such as KRAS, BRAF, MMR and MSI. Knowing which genes or proteins your cancer has can help the doctor decide if treatments like targeted therapy or immunotherapy might help.

Other tests, such as MRI scans, x-rays and blood tests may also be done to look at how big the cancer is and whether it has spread.

What happens if I have colorectal cancer?

If you have colon or rectal cancer, treatment depends on which type of cancer it is, how big it is, and whether it has spread. Treatment may include surgery, radiation, chemotherapy, targeted therapy or immunotherapy. Many people get more than one type of treatment. It’s important to talk openly with your doctor and ask questions if you don’t understand something. Here is a list of questions to ask your doctor that you can take with you.

90,000 Causes of hemorrhoids – Clinic Health 365 Yekaterinburg

Hemorrhoids occur in people who have several adverse factors. The most important causes of hemorrhoids are a violation of the outflow of blood through the veins of the rectum, insufficiency of connective tissue, dysregulation of the vascular wall, increased venous pressure in the small pelvis due to constipation, prolonged sedentary work or pregnancy.

With the combined effect of these factors for a long time, the veins around the anus (anus) can expand and hemorrhoids form, which eventually increase in size and begin to protrude.

Sedentary work and physical inactivity , hard physical labor. As a result of prolonged sitting position, blood stagnation occurs in the pelvic region. Excessive physical activity (for example, when lifting weights) also causes a sharp increase in intra-abdominal pressure and stagnation of blood in the veins, which leads to overflow of the pelvic veins. Veins stretch and lose their elasticity over time. On the contrary, moderate physical activity, skiing, jogging, swimming, gymnastics, strengthen and stimulate the pelvic circulation, prevent stagnation of blood in the veins.

Chronic constipation . About 50% of patients presenting with hemorrhoids initially deny that they are constipated. However, upon careful questioning, almost all of these patients admitted to have many symptoms suggestive of chronic constipation.

The definition of constipation includes the following: infrequent bowel movements (usually less than three times a week), difficulty during bowel movements (feeling of tension during more than 25% of all bowel movements or a subjective sensation of hard stools), or a feeling of incomplete bowel movement.

Constipation is usually manifested by a change in the consistency of stools (hard, painful stools) and a violation of the physiology of stool discharge (irregularity, difficulty in evacuating feces, tension during bowel movements). Although excessively hard stools usually lead to difficulty in defecation, in elderly patients with anatomical abnormalities of the intestine (megacolon, diverticula) and impaired motility, soft and heavy stools can also cause constipation. Constipation usually occurs when several factors are present: a diet with an insufficient amount of dietary fiber, low physical activity, impaired nervous regulation of intestinal activity (for example, under stress), anatomical defects of the intestine, and the patient’s expectation of pain during stool and deliberate stool retention may also be present.

Obesity . With obesity, firstly, the pressure inside the abdominal cavity increases due to an increase in the omentum (the omentum is a duplication of the peritoneum filled with adipose tissue), and secondly, intestinal motility is disrupted due to a sedentary lifestyle.

Pregnancy (especially in the third trimester). In pregnant women, there are several factors at once that contribute to the occurrence of hemorrhoids:

– Violation of blood circulation in the pelvic organs (the enlarged uterus compresses the inferior vena cava, and causes stagnation of blood in the veins of the pelvis and lower extremities).

– Many pregnant women report a tendency to constipation, this is due to changes in the regulation of the intestines during pregnancy. In addition, doctors often advise a woman to limit her fluid intake, which also leads to a change in the consistency of the stool (it becomes harder).

– During pregnancy, a woman cannot lead the same active lifestyle as before pregnancy, which causes physical inactivity and additional stagnation of blood in the veins of the legs and pelvis.

Chronic diarrhea (frequent watery stools).Some patients may have diarrhea for several months. At the same time, the volume of feces increases (more than 300 g per day) and the frequency of bowel movements. As a result, irritation and inflammation of the rectum and anus occurs, which is the cause of exacerbation of preexisting hemorrhoids. In the chronic form of diarrhea, diarrhea can be replaced by severe constipation.

Anal sex . During anal sex, firstly, the blood flow to the vessels of the rectum increases significantly, and secondly, the circular muscle that closes the exit from the rectum is stretched. This is the reason for the appearance of hemorrhoids and the prolapse of internal hemorrhoids.

Liver cirrhosis . As a result of changes in liver tissue and an increase in resistance to blood flow through the hepatic tissue, portal hypertension syndrome (increased pressure in the portal vein of the liver) develops. It, in turn, leads to varicose veins in various organs, including the rectum.

Heredity . The presence of pathology of the venous system in relatives of patients with hemorrhoids is usually 30-60%.Moreover, since the occurrence of hemorrhoids is due to the structure and strength of the walls of venous vessels and their regulation, relatives may have varicose veins of the extremities, esophagus and other organs.

Age over 40 years . Hemorrhoids are more common in older people because the tissues that support the veins of the rectum and anise weaken and stretch as we age.

Related articles:

90,000 Hemorrhoids + chronic constipation: looking for a way out

Style block “STYLE”

What could be worse than hemorrhoids? Only hemorrhoids and constipation at the same time! Unfortunately, these two problems often go together.

Chronic constipation often provokes the onset and exacerbation of hemorrhoids. Long “sitting” in the toilet can cause stagnation of blood in the rectum. The effort during bowel movements, which is forced to make a person suffering from constipation, causes even more stress on the walls of the vessels in the anus and can cause inflammation. Likewise, exacerbation of hemorrhoids can easily lead to stool retention. A person experiences an elementary fear of going to the toilet “in a big way” and postpones the visit “until later.”The longer this goes on, the harder the stool and the more difficult it will ultimately be to empty. Hard feces injure the intestines and further increase the inflammation of the hemorrhoids – a vicious circle is obtained, from which it is difficult to find a way out.

Where is the exit?

In the treatment of hemorrhoids in the first two stages, venotonics and rectal suppositories are used to help stop pain and reduce inflammation. In the last stages, only surgery helps, but it will not relieve chronic constipation.And if you do not establish normal bowel function and regular bowel movements, the problem will come back again and again, and it will be more and more difficult to solve it each time. This requires a drug that does not aggravate the symptoms of hemorrhoids and helps to gently and comfortably cleanse the intestines.

Nature Heals

In the treatment of both chronic constipation and hemorrhoids, herbal remedies containing soluble dietary fiber have proven to be excellent. Unlike coarse fiber, which can irritate the intestinal wall and cause cramps and bloating, soluble fiber works gently without pain, cramping or bloating.They expand and soften stool by stimulating the intestinal wall and making it easier to defecate. By actively absorbing moisture, the fibers turn into a slimy gel that protects the intestinal walls from irritation, relieving pain and reducing inflammation.

It is these hydrophilic fibers that are contained in the composition of the Fibralax Evalar drug. The resulting gel works as a kind of lubricant and helps to soften the stool, promoting a comfortable bowel movement.Unlike some laxatives, Fibralax not only helps to solve the problem of constipation one-time, it restores the normal functioning of the large intestine, triggering the mechanism of natural release.

In addition, the hydrophilic fibers in Fibralax help restore intestinal microflora ^{and reduce the risk of rectal tumors 1 .}

CONTRAINDICATIONS ARE AVAILABLE. CONSULT A SPECIALIST

Did you know that a daily intake of 15 g of soluble fiber …

… lowers blood cholesterol levels by 30%

… slows down the absorption of sugar and maintains its level within the normal range
… reduces the risk of developing estrogen-dependent tumors and colorectal cancer by absorbing and removing toxins, carcinogens and heavy metal salts

. .. creates a feeling of fullness and helps to manage weight,

… increases the population of beneficial bacteria in the gut, which help improve immunity, have anti-inflammatory effects and even improve mood

¹ Bronovets I.N., Sakovich M.N., Khomich E.N. The role of dietary fiber in nutrition, prevention and treatment of certain diseases. – Minsk, 1989 .– P. 35.

Proctology Q&A

The most frequently asked questions from patients and the specialists’ answers to them.

Proctology Q&A is an active and constantly updated section created especially for patients. It is sometimes difficult for a non-medical person to find reliable information on the Internet.The website of the ON Clinic medical center makes it possible to get a qualified answer to an individual question to a proctologist.

On the website of our network, you can ask a question to the proctologist through a special form. Please state your questions clearly and informatively. Indicate important data: the patient’s age, a short history (the presence of concomitant diseases), the nature of the proctological problem, specific complaints and what treatment was carried out earlier. This will allow the doctor to remotely communicate the situation as objectively as possible and give the most complete answer.

Specialists of the proctology department are ready to answer the basic questions of proctology, no matter how delicate they are. For the most accurate assessment of each specific case, face-to-face consultation will be required. Look for the addresses of the representative offices in your city on the website.

My father (he is 76 years old) developed severe weakness, dizziness, palpitations due to the constant discharge of blood in the stool. There is very little hemoglobin in the blood test. Doctors say that the operation of hemorrhoids in this state is very dangerous.How are we to be?

You can start with a minimally invasive treatment – sclerotherapy. Drugs injected even into very large nodes will stop the blood flow. During this time, anemia can be cured.

Very often, after sclerotherapy, the nodes are significantly reduced. Small knots can be healed by ligating with latex rings. If the nodules remain large, a hemorrhoidectomy may be necessary. But the risk of this operation with cured anemia will be much less.

Why and how to treat stage I hemorrhoids?

The sooner treatment is started, the faster the recovery will come.In addition, the result will be more reliable. Suppositories and ointments are not a method that can get rid of hemorrhoids. The effectiveness of minimally invasive methods in the first stage of hemorrhoids exceeds 97%.

I was diagnosed with external hemorrhoids. Tell me how you can remove nodes. Can this be done without the aid of a scalpel? Is it dangerous to have surgery for hemorrhoids?

External hemorrhoids can only be removed surgically. Which tool will be used in this case does not really matter.
Each instrument has its own merits and demerits. Wounds inflicted with a normal scalpel heal faster, but bleeding is possible. The use of a laser, ultrasonic scalpel or electric knife does not require stopping the bleeding.
Surgitron is used quite often, in some books it is called a radio-beam scalpel.
“Surgitron” is a more gentle method than ultrasonic, diathermic and laser scalpels, as it does not cause pain and swelling after surgery. This allows it to be used on an outpatient basis.

Is the treatment of hemorrhoids (or anal fissure) effective with candles with belladonna extract, or are there more effective drugs?

Belladonna suppositories can reduce pain by relieving muscle spasms. But it is impossible to get rid of hemorrhoids with the help of medicinal suppositories and ointments alone. At best, they will provide temporary relief. For anal fissures, trying to put a candle on can worsen the pain.

Will the hemorrhoid remain outside after removing the inflammation or will it go inside on its own? It is now the size of a plum and cannot be adjusted.Can ligation be resorted to if it does not disappear?

Thrombosed hemorrhoids never disappear without a trace. With an exacerbation of the disease, it increases, and outside the exacerbation it decreases and exists in the form of an anal fringe. If exacerbations become frequent or cause hygienic and cosmetic difficulties, the anal fimbria can be removed.

Latex ligation is not available for the treatment of fringes. Methods for seamless removal of fringes have now been developed, in particular, using the Surgitron apparatus.The intervention is performed on an outpatient basis under local anesthesia. No scars remain after this procedure.

My friend is already used to the fact that he has hemorrhoids from time to time. I can’t convince him to see a doctor. Tell me why you need to treat hemorrhoids so that I can influence my friend.

Hemorrhoids need to be treated because this disease greatly complicates the daily life of the person who suffers from it. In addition, against the background of hemorrhoids, other diseases may occur, such as acute or chronic anal fissure, paraproctitis, rectal fistula, purulent inflammation, anemia, etc.Recall that hemorrhoids are easiest to treat in the initial stages. If you do not pay attention to hemorrhoids, sooner or later there will be an exacerbation. With advanced forms of the disease, surgery may be the only way out.

Is it possible to do without surgery if hemorrhoids are advanced?

Judging by the term neglected hemorrhoids, you were not examined by a proctologist. I advise you to contact a qualified specialist. It is possible that the operation will not be needed.Now there are non-surgical techniques (minimally invasive interventions) that cure far-reaching cases of hemorrhoids. This is sclerotherapy in combination with latex ligation, suture (proximal) ligation, etc.

I heard that some special teas for the treatment of hemorrhoids appeared on the market. What it is?

It is impossible to cure hemorrhoids with the help of herbal medicine and dietary supplements. All these funds have, first of all, a laxative effect.With an exacerbation of hemorrhoids, laxatives can be given, but with caution. Too frequent bowel movements can increase swelling and pain, leading to bleeding.

What is general and local treatment for hemorrhoids?

The basis of general treatment, in addition to preventive measures (limitation of acute, smoked and other irritating food, refusal of alcoholic beverages, regulation of stool), is the use of phlebotonics – drugs that affect an increase in venous tone, improve microcirculation, and normalize blood flow.
Local treatment is primarily aimed at eliminating pain and inflammation. Mostly candles or ointments are used. However, drug (conservative) treatment can only relieve symptoms or slow the progression of the disease. The solution to the problem is achieved by direct action on the hemorrhoids.

Can hemorrhoids be cured with ointments and suppositories?

Ointments and suppositories can cure concomitant or hemorrhoid-related inflammatory processes – proctitis, cryptitis, however, treatment with ointments and suppositories does not affect the main causes of hemorrhoids (an increase in the volume and excessive displacement of hemorrhoidal plexuses).

Is it possible to treat hemorrhoids yourself, at home

Conservative treatment of hemorrhoids at home is possible only if you received the diagnosis and the necessary recommendations after visiting the proctologist. It is dangerous to engage in treatment without a full medical examination, since under the mask of hemorrhoids more formidable diseases of the colon can be hidden.

Are hemorrhoids related to varicose veins in the legs? Can it affect the veins of the legs

Today it has been proven that hemorrhoids are not varicose veins of the rectum, but enlarged internal hemorrhoidal plexuses (anal cushions). That is, it does not directly affect the veins of the legs. However, it should be added that hemorrhoids are included in a group of diseases called “diseases of weak connective tissues”, which also include various hernias, flat feet and varicose veins.

How often after treatment the symptoms of hemorrhoids reappear, is a relapse possible?

The frequency of relapses (recurrence of symptoms of the disease) depends on the stage of hemorrhoids at the time when treatment was started.With stage I hemorrhoids, the probability of recurrence is about 5%; at stage II, 7-10%; at stage III from 10 to 20% of cases; at the fourth stage (even after hemorrhoidectomy), relapses occur in every fourth patient. Therefore, the best remedy for the reappearance of the disease is a timely visit to a proctologist.

What is the most reliable treatment for hemorrhoids?

The stability of treatment results depends, first of all, on the stage of the disease. Drug treatment and physiotherapy are auxiliary methods of treatment of hemorrhoids – they affect the accompanying hemorrhoids inflammatory processes of the mucous membrane and the fragility of blood vessels. More active methods – minimally invasive procedures or various options for hemorrhoidectomy – can influence the mechanisms of formation of hemorrhoids. Which of these methods will be chosen depends on the stage of the disease and the capabilities of the doctor to whom you turned.

What complications arise in the treatment of hemorrhoids, and how often does it happen?

Complications during drug treatment are associated primarily with allergic reactions to the components of ointments, suppositories and tablets.Surgical interventions can be complicated by bleeding early after surgery (after a few hours or during the first stool). Sometimes there are short-term violations of urination. These complications, according to the medical literature, occur in 2-7% of cases. Severe pain after hemorrhoidectomy is not a complication, but a natural reaction to surgery. They subside within a few days. With minimally invasive procedures, complications occur less often – from 0.5 to 1.5% of cases. Most often, bleeding occurs when the node is rejected after latex ligation.Thrombosis of external nodes and inflammatory complications after sclerotherapy have become extremely rare phenomena – one or two complications per 3-10 thousand procedures.

How long does it take to heal hemorrhoids?

If we restrict ourselves to the use of ointments and suppositories, the time of treatment for hemorrhoids can drag on for a lifetime. The duration of the course of treatment with minimally invasive procedures depends on the stage of the process. Treatment of stage I hemorrhoids lasts 2-3 weeks. In stage II, the duration may be the same, but sometimes it lengthens to 30-40 days.At stage III, sometimes 5-6 procedures are required with an interval of 10-12 days, that is, a total of one and a half to two months.
At the fourth stage, surgical intervention is required, most often hemorrhoidectomy. How long is hemorrhoids treated in this case? The duration of treatment consists of a hospital stay (about a week) and outpatient treatment for a month. The state of health after the operation becomes good two to three months after the intervention.

I am 18 years old.I have stage 2 or 3 hemorrhoids. I cannot live without strength sports, which, most likely, provoked hemorrhoids. Will it be possible to return to sports, in particular bodybuilding, after treatment? And what kind of treatment should you choose?

Of course, after adequate treatment it will be possible to continue training. But draw the right conclusions – the loads should be proportionate to your capabilities, do not chase after quick results. The method of treatment in your case can be chosen only after a doctor’s examination.With hemorrhoids of the 2-3rd stage, it is quite possible to use minimally invasive methods of treatment.

I heard that while practicing martial arts you can earn hemorrhoids. This, allegedly, is facilitated by low and wide racks. If so, what precautions are there, and what about someone who is already sick?

This can happen not only to those who practice martial arts. The seller and the driver, the student and the loader – there are many types of activities that are at risk of getting hemorrhoids.It is best to train under the supervision of a qualified trainer. If you have symptoms of hemorrhoids, do not postpone treatment, do not bring the matter to surgery. Heal and train yourself for health. Do not forget about a reasonable diet and rest.

Is it possible to take warm baths for hemorrhoids? Are hot baths harmful for hemorrhoids?

In untreated hemorrhoids, warm or hot shared baths can cause hemorrhoidal bleeding, especially during exacerbations.Sitting baths are often used in proctology. They are used in the initial stages of conservative treatment and can be either hot or cold. But this rather effective method of treatment should be used according to the doctor’s prescription.

Is it true that overweight people are more likely to subside with hemorrhoids?

There is no direct link between hemorrhoids and obesity. In obese people, disorders of the activity of the colon are more common – constipation or frequent liquefied stools in small portions.These conditions are directly related to the formation of hemorrhoids. Excess weight causes systemic disorders, ranging from overloading of the joints, blood vessels of the lower extremities and small pelvis, and ending with fatty degeneration of internal organs. Against this background, hemorrhoids looks like a tertiary problem. Therefore, watch your weight.

The doctor recommends a hemorrhoidectomy for my husband, however, in addition to hemorrhoids, my husband has a prostate adenoma. Can the operation be performed in this case?

If there are indications for hemorrhoidectomy, prostate adenoma is not a reason to refuse surgical treatment. Only careful preoperative preparation and longer follow-up in the postoperative period are required. However, do not rush to agree to the operation. Consult an institution with sufficient experience in treating hemorrhoids with minimally invasive procedures. It is possible that your husband can be helped without resorting to hemorrhoidectomy.

I am 23 weeks pregnant. A small growth has appeared at the anus. Could it be hemorrhoids? Given that I am pregnant, which doctor should I go to?

You need to see a proctologist.After the examination, the doctor will establish an accurate diagnosis. Many diseases of the rectum can be effectively treated during pregnancy. If necessary, the doctor will consult with your obstetrician.

I am in the second month of pregnancy. Recently, she began to notice the discharge of blood from the anus, regardless of bowel movements. Could this be related to pregnancy, and is it not dangerous for the child?

These symptoms are most common in hemorrhoids and anal fissures. Do not self-medicate – see a proctologist. Timely treatment will help you avoid a lot of troubles during pregnancy and childbirth. These diseases are not dangerous for a child.

During the first and second births, two bumps swelled in my anus. After some time, everything went away, but in place of these bumps, an elongated skin remained, it worries me. How to get rid of it?

Your anal fims have formed.They can only be removed surgically. There is no other way. This small surgery can be performed on an outpatient basis.

I have a chronic anal fissure. Now she does not bother, but every 2 ~ 3 days, a little blood comes out during a bowel movement. I make warm baths and microclysters with chamomile. In the mornings, I am used to doing gymnastics – intense squats, push-ups, work my abs, run. Wouldn’t it hurt me?

I advise you to devote some amount of time to a qualified treatment of a crack by a proctologist. The current well-being is temporary. Aggravation can catch you at the most inopportune moment. Rhythmic loads on the muscles of the anterior abdominal wall and squats with cracks in the anus are quite acceptable. Unless, of course, the crack doesn’t mind.

My partner loves anal sex. Is it dangerous for a woman if she has hemorrhoids, fissures and polyps of the rectum? I heard that any cancer begins with trauma, is it possible to develop cancer in this case?

In diseases of the rectum and anus, anal sex leads to their exacerbation and progression.The occurrence of cancer in this case is unlikely.

Is it possible to remove warts located inside the anus without surgery?

Warts are caused by a viral infection. With the wrong treatment, a relapse of the disease will inevitably occur. Successful treatment of genital warts involves the complete removal of all growths with simultaneous antiviral treatment and medicinal effects on the immune system.

I often have itching and moisture in the anus.What could it be?

Most likely, these are manifestations of hemorrhoids. You need to start by visiting a proctologist. If it is not hemorrhoids, the doctor will refer you to other specialists – a gastroenterologist, dermatologist, mycologist, or prescribe treatment for helminthic invasions.

Which toilet paper should I use?

Do not save on health. Toilet paper shouldn’t be stiff. Buy plain white toilet paper, not scented or colored.Before use, you can slightly dampen it with cool water. Limit yourself to using paper only as a last resort. Aim to complete each toilet with a flush. This is perhaps the most effective means of preventing hemorrhoids.

When I sit, my tailbone hurts. I have no knots around the anus. Over the course of the year, I have noticed blood on my stool and on toilet paper several times. Is it hemorrhoids or is it possibly a symptom of another disease?

Soreness in the coccyx area may in some cases appear with hemorrhoids. Considering that tailbone pain is associated with rectal bleeding, it can be assumed that you may not only have hemorrhoids. An accurate diagnosis can be made only after a doctor’s examination.

I often have itching in the anus. Relief comes after I scratch. But isn’t it harmful?

Of course, harmful. Itching is a signal from your body about some kind of trouble. Start by visiting a proctologist. Most often, itching occurs with hemorrhoids.Itching can be a sign of latent diabetes mellitus, enterobiasis (pinworm infection) and other diseases. Do not forget the adage: “The more you scratch, the more you want.” Seriously speaking, this activity is not safe. The skin around the anus is very delicate, and there are many microbes in this area. Dangerous suppuration can easily develop.

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Fecal occult blood test

Fecal occult blood test is an analysis of feces performed to detect occult bleeding from various parts of the gastrointestinal tract. It allows you to detect altered erythrocyte hemoglobin even in the case when the erythrocytes themselves are not detected by microscopic examination of feces.

Russian synonyms

Study of feces for occult blood.

Synonyms English

Occult blood test, fecal occult blood test.

Research method

Gregersen test (benzidine test).

What kind of biomaterial can be used for research?

Cal.

How to properly prepare for the study?

• Eliminate meat, fish, green vegetables, tomatoes from the diet for 72 hours before testing.
• Eliminate the intake of laxatives, the introduction of rectal suppositories, oils, limit the intake of medications that affect intestinal motility (belladonna, pilocarpine, etc.) and the color of feces (iron, bismuth, barium sulfate), within 72 hours before collecting feces.
• The study should be carried out before performing sigmoidoscopy and other diagnostic procedures in the intestine and stomach.

General information about the study

Analysis of feces for occult blood is an extremely important laboratory test in the diagnosis of latent bleeding from various parts of the gastrointestinal tract. Such bleeding is one of the early symptoms of a number of serious diseases of the gastrointestinal tract, including cancer. With latent bleeding, even for a long time, it is very difficult to determine the presence of blood in the feces both visually and microscopically, and most often it is simply impossible.

With profuse bleeding from various parts of the gastrointestinal tract, the blood changes the appearance of feces so much that its presence can often be determined visually. If bleeding is from the lower intestines (colon, rectum), then the blood will be scarlet, possibly in the form of clots or impurities. If the source of bleeding is in the upper parts of the gastrointestinal tract (part of the small intestine, esophagus, stomach), then the feces turn into black, “tarry” due to the interaction of blood and special enzymes produced in these parts of the gastrointestinal tract.As a rule, if there are visual signs of gastrointestinal bleeding, then the situation is acute and requires emergency measures (emergency care). However, with less pronounced violations of the integrity of the gastrointestinal mucosa, with the involvement of a small number of vessels in the process, the color and consistency of feces do not change, but erythrocytes in feces will be visible during microscopic examination. If erythrocytes are not microscopically visible, and there is a suspicion of latent bleeding, then an analysis of feces for occult blood is required.This study is carried out by measuring the amount of altered hemoglobin (and not the red blood cells themselves).

A positive fecal occult blood reaction means that a person has diseases of the gastrointestinal tract, causing a violation of the integrity of the mucous membrane, when a small amount of blood is secreted into the lumen of the stomach or intestine. This can occur with stomach or duodenal ulcers, ulcerative colitis, Crohn’s disease, polyps, helminth infestations.Since tumors, primary and metastatic, cause lesions of the gastrointestinal mucosa, even with small sizes, the study is used at the first stage of detecting gastrointestinal tumors. It is especially important to determine occult blood in the diagnosis of colon cancer, since it is with tumors in this part of the intestine that latent bleeding begins at the earliest stages.

Blood in feces can also be detected in case of nosebleeds, bleeding from the gums and pharynx, in patients with varicose veins of the esophagus, erosive esophagitis, in hemorrhoids and other diseases, so it is imperative to take this into account when evaluating the test results.

The reliability of the analysis is highest when it is repeated. Negative test results do not exclude the possible presence of an erosive-ulcerative or neoplastic lesion of the gastrointestinal tract in the patient. It is important that the results should be evaluated in conjunction with other instrumental and laboratory studies, since they themselves cannot be the only criterion for making a diagnosis.

Sometimes all fecal occult blood tests are mistakenly called a test or a Gregersen reaction, erroneously – because the Gregersen test (benzidine test) is the most common, but not the only method for detecting occult blood in feces, urine, vomit, etc.d.

What is the research used for?

• For the diagnosis of gastrointestinal diseases, accompanied by violations of the integrity of the mucous membrane (peptic ulcer and duodenal ulcer, primary and metastatic tumors of the esophagus, stomach, large and small intestine, duodenal papilla, intestinal tuberculosis, ulcerative colitis, helminthiasis).
• To assess the degree of damage to the gastrointestinal mucosa.
• To assess the adequacy of therapy for gastric ulcer, NUC, Crohn’s disease, intestinal tuberculosis.
• To assess the severity of gastrointestinal disease and to give its prognosis.

When is the study scheduled?

• For abdominal pain, heartburn, nausea, vomiting.
• With frequent mushy stools, false urge to defecate, constipation, abdominal pain, weight loss, loss of appetite, fever.
• In case of detected tumors of the gastrointestinal tract (instrumental methods) to exclude hidden bleeding of the gastrointestinal tract.
• When helminths are detected – to assess damage to the gastrointestinal mucosa.
• If the patient has previously been diagnosed with a stomach ulcer (ulcerative colitis, Crohn’s disease, polyposis, intestinal tuberculosis).

What do the results mean?

Reference values: negative.

Reasons for a positive result:

• colorectal cancer,
• primary and metastatic tumors of the esophagus, stomach, intestines, duodenal papilla,
• gastric ulcer and duodenal ulcer,
• ulcerative colitis,
• intestinal tuberculosis,
• helminthiasis injuring the intestinal wall,
• enlargement of the veins of the esophagus with cirrhosis of the liver and thrombophlebitis of the splenic vein,
• Randu-Osler disease,
• erosive esophagitis,
• nosebleeds,
• stomatitis, periodontal disease,
• hemorrhoids.

A negative result is not diagnostic.

What can influence the result?

• In some occult blood tests, eating certain foods and drugs that stain the stool gives a false positive reaction.

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But sometimes hemorrhoids can mask cancer.And even a proctologist can make a mistake and start treating hemorrhoids. But 4 weeks pass, 8 weeks, and the bleeding continues. Thus, one should never relax. It is imperative to do a colonoscopy to be sure, not 99%, but 100% that it is hemorrhoids, and not cancer. One should always remember that cancer of the rectum and colon is the most common type of cancer and always remain alert about this disease.

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I suffered with this hemorrhoids all pregnancy.I made oak baths and they prescribed more pills, I can wash phlebodia. seems to have helped. but for a long time I could not do anything. now he also has it, but I haven’t seen a doctor yet. Link. Complain. 0. NOT during pregnancy, the doctor prescribed the following scheme: to sit in a basin with potassium permanganate (the water is slightly warmer than room temperature, i.e. NOT very warm, the color of a good cherry compote) 3-4 times a day – removes the swelling, and therefore immediately relieves the pain , heparin ointment constantly on a cotton pad and do not remove at all from the nodes, take hepazolone, phlebodia tablets.a bowl of potassium permanganate, I think, will not hurt anyone. really, quickly. I got by with the first two means. External hemorrhoids during pregnancy. External nodes are more likely to occur in the second half of gestation or after childbirth. Women complain of a mass palpable in the anus, which brings a lot of unpleasant sensations (pain, sting, itching). Patient reviews of these drugs are very controversial. Do not forget that only a doctor can prescribe treatment. Enlarged hemorrhoids during pregnancy are treated with conservative methods.This approach allows you to stabilize the process, eliminate unpleasant symptoms and avoid the development of severe complications. Unfortunately, hemorrhoids during pregnancy are a common thing, there is no definitive treatment, so ointments are candles. But something is early in your 14th week. He usually comes out by the third trimester when there is a stomach and the uterus presses on the veins. With hemorrhoids, all the more so during pregnancy, only Heme, a natural composer, helps instantly. I took it recently, I like it, did not expect it, I thought like all other candles, at first there is an effect, and then everything is new, but no, everything is fine.1. Heme is a universal remedy for combating chronic hemorrhoids. Based on cocoa butter. Contains propolis which surpasses lidocaine in analgesic effect by 6 r. I helped my neighbor. Hemorrhoids are enlargement of hemorrhoidal veins, therefore Phlebodia 600 is included in the treatment protocol. Get well and have an easy delivery! Save. Allowed suppositories during pregnancy natalsid. The main treatment is to have regular bowel movements and relieve pressure. Be sure to wear a bandage. Eat dried apricots and prunes, kiwi, cook compotes, you can eat baby prune puree, according to women’s reviews, there is also a good effect.For soft stools, you can use microlax. Save. Hemorrhoids in pregnant women – almost every second woman suffers from hemorrhoids during pregnancy or after childbirth. Procto-Glivenol is a drug for the treatment of hemorrhoids in pregnant women. Therapy for hemorrhoids in pregnant women. When choosing a drug for the treatment of a pregnant or lactating woman, one should take into account its safety both for the patient herself and for the fetus and newborn. In the first trimester of pregnancy, NSAIDs and glucocorticoids are contraindicated primarily in systemic therapy (for oral administration) and when applied topically, as well as systemic drugs for the treatment of hemorrhoids.Relief is the best medicine for hemorrhoids for women and men. During pregnancy and breastfeeding, it is permissible to use it only after consulting a specialist. Relief rectal suppositories 12 pcs. Manufacturer: Bayer, Italy. No. 4 – Relief Advance (Bayer, Italy). It is the best remedy for external hemorrhoids due to the fact that it does not have a resorptive effect and softens areas of the mucous membrane that has undergone degenerative-dystrophic changes. Indications for the use of Relief Advance suppositories: hemorrhoids and cracks in the anus. Hemorrhoids during pregnancy give a woman a lot of trouble.Problems with defecation not only affect the quality of life and well-being, but can create preconditions for the occurrence of other disorders. For example, bleeding that often occurs with hemorrhoids can lead to anemia, which will negatively affect not only the health of the mother, but can also affect the condition of the fetus. What remedies for hemorrhoids in women in position will be not only effective, but also safe? During this period, it is not recommended to carry out any operational manipulations. Therapy consists in the use of conservative techniques and the use of mild drugs, created specifically for pregnant women.Hemorrhoids – a disease in which the vessels in the anus are dilated and are hemorrhoids – inside the anus or outside under the skin. Internal hemorrhoids form inside the anal canal. Internal hemorrhoids are often painless, but they can fall out and bleed. Pregnancy and childbirth often contribute to the onset and development of hemorrhoids. How to avoid this and how to treat hemorrhoids during pregnancy and after childbirth? Hemorrhoids (from Latin – bleeding) is a disease resulting from the overflow of blood in the venous plexus located in the anus.It is these enlarged, altered veins that are called hemorrhoids. The congestion of blood in the veins of the small pelvis is facilitated by taking medications, for example, oral contraceptives, antibiotics, laxatives. Of course, the abuse of alcoholic beverages and smoking has a negative impact on health in the field of proctology. How to treat? What to do? Advice. On a period of 34 weeks, hemorrhoids came out with a lump. Girls feel, I’ll say frankly. Hemorrhoids in a pregnant woman. How to treat? What to do? Advice.On a period of 34 weeks, hemorrhoids came out with a lump. Girls feel, frankly, not clever. How is it possible for the nodule to dissolve? Do folk or medical effective remedies exist at all? Thanks in advance. YuliyaK.

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Propolis is a product of the vital activity of bees, characterized by a wide range of bactericidal effects.It has an immunomodulatory, regenerating, wound-healing, antipruritic, capillary-strengthening, adaptogenic effect. It accelerates the regeneration processes, prevents the onset of the inflammatory process, prevents infection, supports the body with a complex of minerals and vitamins. In gynecology, it reduces inflammation and heals tissues. Propolis reduces the severity of pain, improves immunity and restores healthy microflora, heals ulcers. However, as always, the choice of a doctor, his qualifications and experience are the most important components of success in any operation, along with the patient’s confidence in his attending physician and the patient’s readiness to strictly follow the recommendations received.If all these requirements are met, then it will not be difficult to cure hemorrhoids and it will not affect your lifestyle, plans, thoughts and mood in any way. Anyone can buy a product with an original formula. To do this, you should visit the official website of the developer and fill out a short questionnaire form. The order is considered processed when a company representative calls the buyer’s phone in order to clarify the nuances of delivery. The goods are delivered by mail and paid at the time of receipt.

90,000 Is it possible to sit on a soft stool with inflammation of hemorrhoids, and why is hard stool more useful?

Every patient suffering from hemorrhoids knows how uncomfortable and unpleasant it is to sit so that there is no discomfort.All attempts to take a comfortable position on a chair or chair turn out to be meaningless, and everything is connected with the fact that such points as the correct position of the body, the softness and rigidity of the surface, its relief and height should be taken into account. Choosing the right sitting and position during hemorrhoids is very important. Needless to say that the wrong chairs and armchairs, on which a person sits for a long time, become provocateurs of this disease in the future? What is the best way to equip your home and work seating area so as not to suffer from this disease?

Hemorrhoids

Sitting with hemorrhoids is associated with painful symptoms.With this unpleasant disease, doctors recommend not to sit for a long time and not to stand, but to take a recumbent position, to do useful exercises.

It is important to note that during an exacerbation and during a period of remission of the disease, the issue of the way of sitting is of great importance. How should you sit properly? Are there special surfaces to help patients with hemorrhoidal disease? Let’s try to figure it out.

How to sit correctly

Everyone knows that hemorrhoids significantly reduce the quality of life.With the development of hemorrhoids, it is difficult not only to sit, but also to walk or just lie down. But if a person, by virtue of his profession, has to lead a sedentary life, then every time he goes on sick leave with hemorrhoids in an acute form simply will not work. There is only one way out – to solve the problem with the correct sitting during an exacerbation, so as not to touch the nodes once again and to minimize pain as much as possible. You also need to know how to sit so that there is no risk of hemorrhoids.

Sitting

The problem is that when a person is seated, the pressure in the abdominal cavity increases.Therefore, blood circulation in the small pelvis becomes more complicated. From this, stagnation in the vessels begins. It is not surprising that the category of risk includes representatives of sedentary professions: drivers, office workers, cashiers.

Patients should remember that sitting with existing hemorrhoids is allowed. However, doctors recommend minimizing the time of body immobility. You cannot sit for more than one hour. Therefore, you need to take short breaks that can be spent on light gymnastics that helps with hemorrhoids, of course, if this is not an exacerbation stage.You can reduce pain and discomfort, as well as slow the progression of the disease, by choosing the right chair, taking an optimal posture, and using an orthopedic pillow.

Important! During the breaks between sitting, you need to train the pelvic muscles: squeeze and unclench the buttocks, retract and relax the sphincter muscles, so that the vessels are trained and strengthened. Try to move as much as possible, if the hemorrhoids are not aggravated, otherwise the pain will only intensify.

Stages of the disease

If hemorrhoids are bleeding, then in order to eliminate such a negative symptom, it is recommended to lie down more often and perform useful procedures:

• To make compresses from herbal infusions;
• Sit in cool baths;
• Use suppositories to stop bleeding;
• Apply hemorrhoid ointment.

Do not forget about proper nutrition, which will ensure the normalization of intestinal function. Vegetables, cereals, fruits will help speed up the process of digesting food and removing it from the body. In acute hemorrhoids, you should not drink carbonated drinks, which lead to flatulence and irritation of the intestinal mucosa. Control your salt intake as food that is too salty will swell your anal veins. By switching to nutritious and light food, you can normalize stools, relieve the condition of the stomach and intestines, and avoid constipation.Indeed, in the presence of inflamed nodes, constipation can lead to tissue damage and aggravation of the symptoms of the disease.

It is not recommended to lift something heavy during hemorrhoids with thrombosis, since such a load causes tension in the vessels of the anus. Patients need to monitor their body weight, as overweight people are more likely to get hemorrhoids.

With the help of a sedentary hot bath, unpleasant pathology can be overcome, since warm water with herbal decoctions reduces pain and improves vascular blood flow.

For a reason, doctors advise the use of rectal creams and gels containing anesthetic, anti-inflammatory, antibacterial and restorative substances, and some contain essential oils. These remedies effectively relieve soreness, inflammation, burning and itching.

How should one sit during an exacerbation of hemorrhoids?

In case of exacerbation of the disease, it is recommended to use special pillows for sitting, created against hemorrhoids. They also help prevent this disease, relieve pain symptoms.

Pillow

The following groups of people need to use seating cushions:

• Office employees, students, everyone who sits at the table a lot;
• Drivers of different categories and different vehicles for which special car pillows for hemorrhoids have been produced;
• People who have a genetic predisposition to this disease;
• Elderly people whose blood supply to the pelvis is impaired;
• Women during pregnancy if they are susceptible to or already suffering from hemorrhoids.

During a feeling of constant discomfort in the anal area, which proceeds with burning pain, especially in the process of excretion of feces, the use of a pillow will make it possible to reduce pain.

This happens because the anorectal region of the pelvis ceases to touch the surface of the stool that traumatizes it. By reducing the pressure on the painful area, discomfort in the anus is relieved.

Attention! According to research by scientists, the use of a pillow is an effective therapeutic aid in the treatment of hemorrhoids, both external and internal.

Sitting at work with acute hemorrhoids

Reducing physical activity while sitting at work is one of the professional flaws. Frequent sitting position leads to various illnesses. First of all, hemorrhoids concern office workers, programmers, cashiers. Especially often this disease develops in people sitting in soft chairs that seem comfortable and comfortable at first glance.

Sitting at the table

In case of acute hemorrhoids, the best solution, if possible, is to take a vacation or sick leave.If the patient takes a supine position, slightly raises his legs, it will be easier for him to ensure the outflow of blood from the affected vessels and restore its correct circulation.

Is it better to walk or lie down for hemorrhoids? If the patient has to go to work, then there are the following tips for him:

• Pause between seats every 40-50 minutes. At this time, you need to freely walk around the office, perform some simple physical exercises. Due to this, the blood will not stagnate, the inflammation will not start;
• While on a chair, you need to squeeze the muscles of the buttocks from time to time, as if pulling in the sphincter.This will help maintain normal tone of blood vessels;
• As soon as the slightest urge to go to the toilet occurs, do not hold back, you need to immediately go to the toilet for a bowel movement;
• Correctly adjusted chair height is also important: it is necessary that the legs are completely on the floor, bending at right angles;
• It is important that the chair has a comfortable back, since the condition of the spine should not be forgotten in case of hemorrhoids. If the chair has a back, then you can lean back on it, rest from time to time, reduce the load on the tailbone and lower back.

However, it must be remembered that even if you are sitting correctly, you have chosen a firm, comfortable surface, but you do not tear yourself away from it all day, this will not help to avoid hemorrhoids. Therefore, we must not forget about a change in position, light movement, physical warm-up. A few steps taken, basic squats are all you need during a break to protect yourself from hemorrhoid symptoms or to alleviate the course of this disease.

Thus, all that sedentary workers have to remember is warm-ups, hardness of surfaces and absence of hypothermia.All this will help you forget about the disease for a long time.

Advice for drivers with acute hemorrhoids

It is not for nothing that hemorrhoids are called a disease of drivers. They spend many hours in the car seat, which causes blood stagnation, provoking the development of bumps. However, even with confirmation of hemorrhoids, many simply cannot give up daily driving.

Driving

To avoid problems, you need to follow some simple rules:

1. The load must be metered.You should not travel long distances by car if you become aware of the presence of serious traffic jams. The driver must be able to get out of the car at least every hour to warm up;
2. The correct equipment must be selected for the vehicle. In winter, you need to use a special warming cover for your car seat. After all, hemorrhoids can worsen from a cold seat. But overheating of the rectal zone is contraindicated, from this the blood will begin to actively flow to the problem part of the body;
3. Blood circulation is improved by regular walking.It is very useful to squeeze and relax the muscles of the pelvis and anal canal while walking.

What is the best way to sit and how?

Many patients are interested in whether it is better to sit on soft or hard chairs. If hemorrhoids begin to worsen, it is advisable to forget about soft sofas and armchairs, it is better to take a standard wooden stool or a chair with a back.

Chair

The seat must have the following properties:

• Stability. Even with slight swaying or unintentional movement, severe pain with hemorrhoids can begin.To prevent this from happening, you need to use a chair that stands securely on legs;
• Hardness. The seat must have a flat and solid surface. In such a chair, a patient with hemorrhoids can ensure the correct position of the body;
• Coolness. If the seat is hot, it will increase the blood flow to the inflamed areas of hemorrhoids;
• Convenience. Thanks to the straight back, which will ensure the correct position of the spine of a person sitting on a chair, the load on the sacrum, lower back and internal organs of the pelvis is compensated;
• Optimum height.A person should easily sit up and get up from a chair without much effort. While sitting, the feet should completely touch the surface. Bent legs at the knees should not rise above the pelvis;
• The presence of armrests. Due to this part, the load is transferred from the lower part of the body to the upper one when a person stands up.

An orthopedic air cushion can be the best type of seating. It is shaped like a ring with an uneven surface, which at the same time provides massage for the buttocks.This pillow is used by patients with exacerbation of hemorrhoids, and by drivers for prevention, and by women after childbirth and in the process of carrying a child, when the fetus presses on the pelvic organs.

Hemorrhoids is a dangerous and painful disease. Therefore, it must be treated comprehensively. In order to prevent the appearance of hemorrhoids or prevent it from developing to the last stages, you must always monitor the way of sitting, as well as physical activity, daily routine, diet and water consumption, get rid of extra pounds, go to the pool or gym, at least just walk in the air …It is much easier to prevent hemorrhoids than to treat it.

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Expert opinion

Medoed is an active preparation in the form of a cream-stick, which is used for hemorrhoids.Its composition with chaga acts on the rectal mucosa, providing a powerful and pronounced therapeutic effect. Suppositories eliminate swelling, itching, pain and discomfort, neutralize the formed hemorrhoids, increase the elasticity of blood vessels, regenerate the mucous membrane, make the act of defecation comfortable and soft. The drug is extremely well tolerated. However, before starting therapy, it is still better to get the recommendations of a proctologist or surgeon, to establish an accurate diagnosis. The fact is that at the fourth stage of hemorrhoids, only surgical intervention is necessary.

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In order to place an order for hemorrhoid cones during pregnancy, ointment, you must leave your contact information on the website. The operator will contact you within 15 minutes. Will clarify all the details with you and we will send your order. In 3-10 days you will receive the parcel and pay for it upon receipt.

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Honey Badger – a healing cream-stick, which will be exchanged for hemorrhoids.Its active formula with chaga delivers amazing results – relieving pain, itching and discomfort in one full course of therapy.

Sofia

I faced this problem a year ago, after giving birth. At first, since I was breastfeeding, I used folk methods: chamomile, potatoes, etc. What can I say, it helps, but not for long. When the disease worsened, I immediately went to the pharmacy and bought the most common drug (I must say, the most expensive one). The effect lasted for three days, the same amount I suffered while taking.I read about the Honey Badger on the Internet. I decided to try it, placed an order, it was delivered quickly. To be honest, I did not expect such a result. On the first day I felt better, the next day there was no trace of hemorrhoids. I was once again convinced that not everything that is advertised and sold in our pharmacies is effective.

Cream-stick “Honey Badger” for hemorrhoids has passed all the necessary clinical studies and tests and has been certified. As a result of the studies carried out, the remedy has shown itself well in the treatment of internal and external hemorrhoids.”Honey Badger” is absolutely safe due to its 100% natural composition. Where to buy hemorrhoid bumps during pregnancy ointment? Honey badger (Medoed) – an active drug in the form of a cream-stick, which is used for hemorrhoids. Its composition with chaga acts on the rectal mucosa, providing a powerful and pronounced therapeutic effect. Suppositories eliminate swelling, itching, pain and discomfort, neutralize the formed hemorrhoids, increase the elasticity of blood vessels, regenerate the mucous membrane, make the act of defecation comfortable and soft.The drug is extremely well tolerated. However, before starting therapy, it is still better to get the recommendations of a proctologist or surgeon, to establish an accurate diagnosis. The fact is that at the fourth stage of hemorrhoids, only surgical intervention is necessary.

What ointments for hemorrhoids during pregnancy can be used: a list of drugs. … Relief Advance ointment is widely used in the treatment of hemorrhoids, including. The gel is applied to external hemorrhoids 2-3 times a day. The duration of the course of treatment depends on.Treatment of hemorrhoids during pregnancy. Briefly about the main thing. Expectant mothers are prone to diseases that are associated with. With an increase in hemorrhoids in pregnant women, conservative treatment is carried out with local means. With internal hemorrhoids. Treatment of external hemorrhoids in pregnant women. The used methods of therapy, approved medicines, minimally invasive methods of removing hemorrhoids during gestation. Hemorrhoids in pregnant women – almost every second woman suffers from hemorrhoids during pregnancy or after childbirth…. Therapy for hemorrhoids in pregnant women. When choosing a drug for the treatment of a pregnant or lactating woman, one should consider its safety both for herself. Clinically, the symptom complex of hemorrhoids during pregnancy did not differ much from. Pregnancy, not being the main pathogenetic factor of hemorrhoids. In our study, Hepatrombin G ointment was used in puerperas (87 people) with hemorrhoids of I – II severity (4 times a day for the first 2-3 days, c. Treatment of hemorrhoids during pregnancy. When choosing a method of treatment, the condition of the pregnant woman is taken into account.Hemorrhoids are a medical condition that requires immediate treatment. Otherwise, the pathology will take on an acute form, complications (necrosis, infringement) will begin. Hemorrhoids during pregnancy. After all, hemorrhoids in a pregnant woman can disrupt the normal course of pregnancy in the later stages, as well as affect the course of childbirth and the postpartum period. Fear and hope at random often lead to hemorrhoids. The cause of thrombosis of hemorrhoids in your case is constipation. … Of course, if it were not for the pregnancy, it would be easy to get out of the situation, but now you need to be more careful with the drugs! Ointments and creams lubricate stool passage and usually contain anesthetics.They temporarily relieve symptoms and may be. Relief is the best medicine for hemorrhoids for women and men. During pregnancy and breastfeeding, it is permissible to use it only after consulting a specialist. The likelihood of developing hemorrhoids in pregnant women is also influenced by the number of times a woman gave birth: the more often intra-abdominal pressure changed during pregnancy and childbirth, the higher the likelihood of exacerbation of hemorrhoids during the next pregnancy. Causes and risk factors.

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Cream stick MEDOED accelerates the regeneration processes, relieves swelling, itching and burning, heals cracks and wounds, and stops bleeding.Possesses bactericidal, regenerating effect, renews tissues.

hemorrhoid bumps during pregnancy ointment

Cream-stick “Honey Badger” for hemorrhoids has passed all the necessary clinical studies and tests and has been certified. As a result of the studies carried out, the remedy has shown itself well in the treatment of internal and external hemorrhoids. “Honey Badger” is absolutely safe due to its 100% natural composition.

Heparin ointment, more precisely – Heparin Ointment for external use – I was advised at the pharmacy when I asked for something very effective for bruises.Background. A couple of weeks ago, my daughter came back from a walk and announced that she had a bruise so that I would not be scared, nothing terrible, etc. 71 reviews. Heparin ointment: 27 doctor reviews, 44 patient reviews. The heparin-based drug is not the best, in comparison with “Lyoton Gel”. It turns out that the ointment has a wide range of applications: from hemorrhoids, varicose veins and simply apply on. Heparin ointment for external use. approx. 100 IU / g + 40 mg / g + 0.8 mg / g tube 25 g: customer reviews on Yandex.Market. Advantages and disadvantages of the product, evaluation by characteristics: ease of use, ease of packaging, ease of storage. Heparin ointment – detailed instructions for use, indications and. Heparin, which is gradually released from the ointment, helps to reduce. Heparin ointment for hemorrhoids is injected into the anus beforehand. Instruction. Reviews. Specifications. Dosage form. … Ointment for external use, 25 g per tube. A tube with instructions for use. Sodium heparin gradually released from the ointment reduces the inflammatory process and has an antithrombotic effect.Hemorrhoids is a condition characterized by an increase in hemorrhoids located along the perimeter of the rectum. The cause of the development of pathology may be venous stagnation of blood, an inflammatory process. Heparin ointment – instructions, indications for use, indications and contraindications. … HEPARIN, an ointment for external use, is a combined agent that, when applied to the skin, has. Heparin ointment, which you can buy without a prescription in pharmacies in Yekaterinburg, is made from sodium heparin and auxiliary components…. diagnosed with external hemorrhoids and nodular postpartum inflammations; superficial mastitis, lymphangitis, lymphedema, and edema.